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.� <br /> � � . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ��_�y� �f <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org C I I I I —O�/5 <br /> APPLICATIONS ARE ACCEP'TED FROM 8 AM TO 4 PM <br /> 11�09 1 ���� , �� �v � UvA �9 $ 201 <br /> PROJECT ADDRESS <br /> 2d� - $52 - 607� <br /> � x �q�►e� �l�e,�e.o ��i � � 2a�u i e.� Ave S , �ea��P, U/R . 9,�ll,$ <br /> �a R;, �a S�ro� �uA","�114 12��' 9� � v2ee� UvA,9�°!��- 7 72-�°t"75J <br /> �� -� auo�pas,�. I�+09 �ewr�d ,�v�e �v���, ' U/q, 9S 2d ! <br /> Tenant n Addreas Gry Smb/Zip Pha» <br /> 5-� / f <br /> qectrical Contractor Mail Addresa �Y 5b�P �0^� <br /> � 1 � <br /> Sfate License Number �����f W� <br /> P� z�A �.sfa„�,Nf . <br /> Proposed Use o(BuiWing Contect Person (Plan Review) <br /> Descriptbn of Work lo Be Done: � � s�Ia I � �c u �, n d � N G ,� L_ d nts...c <br /> � i rt � . <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO � <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE9 TAX CODE IS 3705 ��1 1 I 'vl L �j <br /> I hereby cerffly that I heve read and exemined thls appllcallon and krrow Me ume to be 6ue end L � � � <br /> cwrect. All proNslons of laws and ad7nances poveminp th7s type o/worlc wiN bs caryolefed <br /> whether speclNed he�eln a not. The prantlng ol e perm7t does notpre�me to ylve eutliomy fo <br /> vlolefe or cancel fhepro vlslons of eny olher state alxal lew reyu el Gnp oonsfnrctlon a fhe <br /> work�r/o whlch a�lkao�1 made and 18�w hyG�e SYa�Co 6a+s Lew f8.2�i RCW aod <br /> 296.200 WAC. <br /> 1 <br /> Sipnature ro <br />